Organization Active NPI

West Gardena Care Center LLC

Doing business as West Gardena Post Acute

  • Skilled Nursing Facility
  • Gardena, CA
National Provider Identifier
1407499163
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WEST GARDENA CARE CENTER LLC
Doing business as
West Gardena Post Acute
Practice address
16530 S Broadway
Gardena, CA 90248-2714
Phone
(917) 842-8361
NPI assigned
Oct 24, 2019
Last updated
Oct 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Chonoch Gewirtz
Title
Owner
Phone
(310) 329-9929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

16530 S Broadway
Gardena, CA 90248-2714

Mailing address

6442 Coldwater Canyon Ave Ste 100
North Hollywood, CA 91606-1191
Phone (310) 329-9929

Other names 1

  • West Gardena Post Acute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191120001679 CA Part A Provider - Skilled Nursing Facility 7214369800 Practice locations: Gardena, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407499163. Details of each certification follow.

Skilled nursing facility certification: CCN 555410

Legal name
WEST GARDENA CARE CENTER LLC
Doing business as
WEST GARDENA POST ACUTE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 1, 1989
Last certification
Oct 3, 2024
Beds
50
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Oct 7, 2019 in CA
Enrollment address
16530 S Broadway
Gardena, CA 90248-2714
Nursing home name
WEST GARDENA POST ACUTE
Affiliated entity
ABRAHAM BAK & MENACHEM GASTWIRTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
West Gardena Post AcuteCCN 555410 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 1, 1989
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5044.9 residents per day on average
Chain
Abraham Bak & Menachem Gastwirth18 facilities in the chain
Penalties (3 years)
2Fines totaling $43,004

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0891504West Gardena Post Acute16530 S Broadway, Gardena, CA 90248Certificate of waiverSep 8, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Chonoch Gewirtz Individual 5% Or Greater Direct Ownership Interest Nov 1, 2019 5%
Adp of the SNF Oct 7, 2019
Juda Bak Individual Adp of the SNF Sep 6, 2019
Mgaz Consulting LLC Organization, North Hollywood, CA LLC, Consulting firm Adp of the SNF Dec 27, 2021
Abe and Rachel Bak Family Trust Organization, North Hollywood, CA Adp of the SNF Nov 10, 2021
16530 South Broadway Street,LLC Organization, North Hollywood, CA LLC Adp of the SNF Sep 6, 2019
Rachel Deena Bak Individual Trustee of the SNF Jan 13, 2016
Adp of the SNF Sep 6, 2019
Kingsley Ofoegbu Individual Operational/Managerial Control Jun 13, 2022
Adp of the SNF Jun 13, 2022
Bagz Holdings, LLC Organization, North Hollywood, CA LLC, Holding company Adp of the SNF Nov 10, 2021
Violeta Pangilinan Individual Operational/Managerial Control Oct 16, 2023
Adp of the SNF Oct 16, 2023
Kenneth Lehmann Individual 5% Or Greater Direct Ownership Interest Nov 1, 2019 32%
Managing Control - Governing BodyManager Oct 7, 2019
Adp of the SNF Sep 6, 2019
Abraham Bak Individual 5% Or Greater Direct Ownership Interest Nov 1, 2019 31.5%
Operational/Managerial Control Oct 7, 2019
Managing Control - Governing BodyManager Sep 6, 2019
Trustee of the SNF Jan 13, 2016
Adp of the SNF Sep 6, 2019
Henry Gastwirth Individual Adp of the SNF Sep 6, 2019
Abak Consulting LLC Organization, North Hollywood, CA LLC, Consulting firm Adp of the SNF Dec 27, 2021
Menachem Gastwirth Individual 5% Or Greater Direct Ownership Interest Nov 1, 2019 31.5%
Operational/Managerial Control Oct 7, 2019
Managing Control - Governing BodyManager Aug 19, 2020
Adp of the SNF Sep 6, 2019

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1407499163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6442 COLDWATER CANYON AVE STE 100",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916061191",
            "telephone_number": "310-329-9929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16530 S BROADWAY",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902482714",
            "telephone_number": "917-842-8361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST GARDENA CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-24",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "GEWIRTZ",
        "authorized_official_first_name": "CHONOCH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-329-9929"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Gardena Post Acute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "West Gardena Post Acute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gardena, CA

Sources for this page

Verify at the official NPI Registry.